Nicholas Thomas Sandulli, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP022242 Issued in PA

Practice address

3600 Meyran @Forbes
Forbes Tower Suite 9055
Pittsburgh, PA 15213

Phone

(412) 647-4618

Fax

(412) 802-6923

NPI assigned

Dec 2, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.94 of 100Reported as group

Quality

61.89

Promoting interoperability

100

Improvement activities

40

Cost

74.58

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicholas.t.sandulli@upmcdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment Care Compare group NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD
• University of Pittsburgh Physicians

  • Urgent Care Clinic/Center
  • Franklin, PA
  • NPI 1619381456
  NPD
• Upmc Emergency Medicine Inc

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1891744041
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1710524459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 FORDHAM AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152262120",
            "telephone_number": "412-401-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MEYRAN @FORBES",
            "address_2": "FORBES TOWER SUITE 9055",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-647-4618",
            "fax_number": "412-802-6923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1585 Neil Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101216",
            "country_code": "US",
            "telephone_number": "614-292-4041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Forbes @ Meyron",
            "address_2": "Ste 10040",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15213",
            "country_code": "US",
            "telephone_number": "412-432-7400",
            "fax_number": "412-432-7480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDULLI",
        "first_name": "NICHOLAS",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-02",
        "last_updated": "2021-10-26",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OH",
            "license": "RN.446603",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Alexander Sandoval, MD
• Ryann Michele Sandoval
• Sandra E. Miller, PH.D. LLC
• Gerald B. Sandson, M.D.
• Lindsey Nicole Sandulli, CRNP
• Paul Deryn Sandusky, B.A., CCDP
• Edward A Sandy II, MD
• Joseph Salvatore Sanfilippo, MD
• Matthew Sanfilippo, D.O.
• Caitlin Sanford

• Family Nurse Practitioner in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.